Why Should You Consider a Breast Implant Removal?

Those with breast implants can sometimes experience dissatisfaction with their implants over time. If you are uncertain about your implants or want to address those complications, you may want to consider a breast implant removal with or without replacement.

What is a Breast Implant Removal?

A breast implant removal is a surgical procedure in which a breast implant is removed or replaced after a previous breast augmentation or breast reconstruction surgery. If your implant is removed but you still desire breasts with an aesthetic outcome after removal without replacement of implants, Dr. Fichadia can perform a breast lift with or without possible fat grafting as an alternative. This removal can be done for several medical or aesthetic reasons. Three of the most common reasons include:

Change Your Body’s Silhouette

If you have had a breast implant but still feel uncomfortable about your breast size, a breast implant replacement may help you achieve your desired look. Breast implants come in all kinds of sizes so that they can be easily customized to each patient’s desired look. A larger or smaller-sized implant can replace the old one to help you achieve the ideal breast size.

Treat Capsular Contracture

A few complications can occur after getting a breast implant in place. One of the most common complications addressed with implant removal is capsular contracture, which occurs when the scar tissue around the implant becomes hardened. This can cause the affected breast to become hard or develop an unusual shape along with breast tenderness, something that if not improved with medication management, can be resolved with a capsulectomy (removal of capsule) and breast implant with or without replacement of breast implants.

Address an Implant Rupture

If your implant ruptures, the material inside the implant will start to leak into the capsule cavity and can cause shape changes. These ruptures can be difficult to detect but if you notice that you are starting to lose volume in your breasts, you may want to schedule an appointment with Dr. Fichadia for evaluation.

Schedule a Consultation

Schedule a consultation with Dr. Hetal Fichadia in her Portland, Oregon, office to discuss all your options concerning breast implant removal. She will ask you about your concerns and cosmetic goals to create a personalized treatment tailored to your needs.

What Causes Gynecomastia in Males

Gynecomastia refers to the abnormal development of breast tissue in males and can be caused by a multitude of factors. It is not a rare condition -in fact, the condition affects about 50 to 65% of males globally. However, there is no simple explanation of why this happens; gynecomastia can be caused by hormonal changes in males, as other external factors can also cause it.

What is Gynecomastia?

In simple terms, it is the presence of enlarged breasts in men. The condition is simply caused by an excess of the female hormone oestrogen. This means that the hormonal balance in the body is hindered, causing unwanted side effects. Gynecomastia can affect one or both breasts, and it might be unequal.

Causes of Gynecomastia

In Newborns

Gynecomastia in newborns is caused by estrogen from the mother. Breast buds are quite frequent in newborn boys. Breast buds usually disappear by six months but can linger longer in some newborns.
Gynecomastia is common during the first few years of life due to hormonal changes in the body of babies. Hormonal changes in boys occur at puberty when they begin experiencing an increase in testosterone levels. The testosterone levels in boys usually reach their peak at the age of 12 years.

In Teenagers

Hormones play a significant role in the development of gynecomastia during adolescence. In boys, gynecomastia occurs during puberty when the level of estrogen in their bodies increases. It is a physical condition characterized by breast tissue growth, and may go away on its own. A boy with this condition tends to have enlarged breast tissue in one or both breasts.

In Adults

In adults, gynecomastia may be due to a hormonal imbalance or a health condition such as testicular cancer. This type of gynecomastia is rare in adult men who aren’t undergoing medical treatment.
The causes of gynecomastia can vary, but the most common ones are related to hormonal changes, medications, and health conditions. If you have this condition, be sure to make an appointment with Dr. Fichadia.

Medications That Cause Gynecomastia

Taking drugs to treat the following conditions can result in gynecomastia.
• Prostate enlargement
• Depression and anxiety
• High blood pressure and heart failure

• Infertility in men (by taking human chorionic gonadotropin, or HCG).
• Abuse of substances such as methadone.

What Disorders Contribute To Gynecomastia?

Gynecomastia can be caused by a variety of disorders, including:
• Adrenal cancer.
• Alcoholism.
• Kidney failure.
• Liver illness.
• Thyroid condition.

The Surgical Treatment Available

If swollen breasts persist despite early treatment or observation, your doctor may recommend surgery.
There are two gynecomastia surgery options:
1. Liposuction. This procedure eliminates breast fat but not breast gland tissue.
2. Surgical Treatment. The breast gland tissue is removed during this procedure. Small incisions are frequently used in surgery. This less invasive operation requires less recovery time.

Visit Us Today for More Information.

Dr. Fichadia is a dual board-certified reconstructive and cosmetic surgeon with extensive training. She is a breast augmentation, breast lift, mommy makeover, facelift, and stomach tuck, specialist in Portland, OR. Schedule a Consultation appointment with Dr. Fichadia by filling out the online contact form.

Why Choose Dr. Fichadia for Breast Augmentation in Portland, OR

If you’re considering breast augmentation in Portland, Dr. Hetal Fichadia is an excellent choice. Dr. Fichadia is a highly experienced and skilled plastic surgeon who has helped many women achieve their desired results. She’s also very compassionate and takes time to know her patients and understand their goals. Dr. Fichadia offers a variety of breast augmentation options so you can choose the right approach for you. She also uses the latest technology and techniques to ensure that your surgery is safe and effective.

When you travel to Portland for your breast augmentation, you’ll be able to take advantage of what our beautiful city offers. From its stunning scenery to its vibrant nightlife, there’s something for everyone in Portland. And, of course, you’ll have easy access to Dr. Fichadia and her team for any questions or concerns you might have during your recovery process. Here’s what to know about breast augmentation with Dr. Fichadia and what you can expect.

What is Breast Augmentation Surgery?

Breast augmentation is a surgical procedure that increases the shape and size of a woman’s breasts. It can also restore breast volume lost due to weight loss or pregnancy. There are two types of breast implants – silicone gel and saline. Saline implants are filled with sterile salt water, while silicone gel implants are filled with soft silicone gel. Both types of implants are safe and have been approved by the FDA for breast augmentation surgery. Breast implants also come with a variety of incision and placement options. They can also be combined with surgeries like the breast lift for even better results.

Why Choose Dr. Fichadia for Breast Augmentation in Portland

Dr. Fichadia is a double board-certified plastic surgeon located in Portland, Oregon. She has over 15 years of experience performing breast augmentation surgery and has helped countless women achieve their desired results. There are many factors to consider when it comes to breast augmentation, such as the size, shape, and placement of the implants. Dr. Fichadia will work with you to ensure you get your desired results. She is highly skilled and experienced in performing this type of surgery, and her patients have been consistently happy with their results. If you are considering breast augmentation in Portland, Oregon, Dr. Fichadia is one of the leading breast augmentation surgeons in the area.

Benefits of a Double Board Certified Surgeon

A double board-certified surgeon has completed extra training and certification in another specialty on top of their initial certification in plastic surgery. This additional qualification ensures that your surgeon has the skills and knowledge to provide you with the best care. Below are some of the benefits of choosing a double board-certified surgeon for your breast augmentation:

  1. They have extensive experience in plastic surgery along with their chosen specialty
  2. They are up-to-date on the latest advancements in both fields
  3. They can offer you a comprehensive treatment plan that considers your aesthetic goals and any underlying health concerns
  4. They have a deep understanding of the anatomy and physiology of the breasts, which is essential for achieving natural-looking results
  5. They are highly skilled in surgical techniques and can minimize the risk of complications

Schedule a Consultation

There are many reasons to choose Dr. Fichadia for your breast augmentation in Portland. Contact our office today to schedule a consultation by calling us or filling out our online contact form.

Should You Get Carpal Tunnel Surgery? The Stages of Carpal Tunnel

You use your hands all day long. You probably don’t even realize how many tasks require their use until pain in your hands takes that away from you! If you have pain or numbness in your hands, you may have Carpal Tunnel Syndrome (CTS).

What is Carpal Tunnel Syndrome?

Carpal tunnel syndrome is pain or numbness in the thumb and first few fingers caused by pressure on the median nerve. The median nerve runs through a narrow opening in the wrist called the carpal tunnel. This is often due to inflammation in the tunnel that pinches the nerve.

Many believe that this is caused by repetitive motion of the hands or wrists, and while this can be true, it is also found to be hereditary, meaning you are more likely to develop this problem if someone in your family has also had it. It can also be caused by diabetes, thyroid dysfunction, fluid retention, high blood pressure, rheumatoid arthritis, or fractures of the wrist. It can occur in one or both hands at similar or different intensities. CTS is typically classified by its severity.

Stages of Carpal Tunnel Syndrome

Stage 1 – Mild Carpal Tunnel Syndrome

At first, you may notice symptoms only at night or when your hands are still for extended periods. There will be some numbness and pain, but it will usually feel better upon moving or shaking your hands. Anti-inflammatory medications, hand braces, or physical therapy may be recommended as a first strategy to alleviate pain. Surgery is typically not advised at this stage.

Stage 2 – Moderate Carpal Tunnel Syndrome

During this stage, pain becomes worse and more frequent. It may not be as easy to just “shake off” the pain. You may want to see your doctor at this point to get an official diagnosis. This is usually done with a complete physical examination of the hands, wrists, and arms. Sometimes ultrasound or an electromyogram (EMG) will be preformed to diagnose the severity of the narrowing and extent of nerve damage. If medication, braces, or therapy have not helped, surgery may be recommended at this time. It can help you to avoid any permanent nerve damage.

Stage 3 – Severe Carpal Tunnel Syndrome

At this point, you will be experiencing symptoms of pain and/or numbness nearly all the time. It is crucial to seek out a qualified hand surgeon quickly so that you do not wind up with irreversible damage to your fingers, hands, or wrists.

Do I Need Carpal Tunnel Release Surgery?

When lifestyle changes are no longer keeping your symptoms under control, CT release surgery may be recommended. This can be an open procedure or an endoscopic one; only your doctor can decide which is best for you. The goal is to eliminate pressure on the median nerve and releasing the transverse carpal ligament is a surgical way to do so. The surgery is typically done with local anesthetic and an overnight hospital stay is rarely necessary.

Schedule a Consultation Today

If you’re in constant or severe pain in your hands, fingers, or wrists, don’t hesitate to contact board-certified hand surgeon Dr. Hetal Fichadia in Portland, Oregon to schedule a consultation today. You can call (503) 488-2344 or fill out the online contact form to get more information today.

How Long Does Kybella® Last?

A double chin can be defeating – it’s impossible to get rid of no matter how much diet and exercise you do, and it can’t be concealed with makeup, hair, or clothing. If you’ve ever considered getting rid of a double chin, then you might think that liposuction is your only option. That’s not the case! Kybella® is an injectable treatment that can get rid of a double chin without incisions or downtime. When considering your options, however, it’s normal to be worried about getting long-lasting results for your money. Here’s what to know about Kybella and how you can enjoy it for the long term.

How Long Does Kybella Last?

Kybella results are virtually permanent. The active ingredient in Kybella is deoxycholic acid which is naturally found in the body and helps break down dietary fat. Then, it’s flushed from the body through the normal metabolic pathways. Once removed, the fat cells can no longer expand with weight gain.

Why Is Kybella So Effective?

Kybella is effective because the treatment completely destroys the fat cells under the chin. Fat cells behave differently than other cells in the body. Compared to other cells, like those in the skin, they cannot regenerate. Once the deoxycholic acid in Kybella destroys the cells, they will not form again. Additionally, Kybella is so effective because the deoxycholic acid targets only fat cells and doesn’t require any surgery or downtime.

Maintaining Kybella Results

Kybella is extremely effective at getting rid of a double chin, but it’s still possible to gain weight in other areas of the body. This can, in turn, contribute to the appearance of a double chin even after treatment. Here are a few ways to maintain your Kybella results.

Weight Management

Managing your weight or losing more after Kybella is an excellent way to ensure your results last. Managing your weight means staying within 10 pounds of your ideal weight – this accounts for natural weight fluctuations that happen day to day and week to week.

Healthy Lifestyle

Another way to maintain the results of Kybella is to have a healthy lifestyle. It will help in ensuring that fat does not accumulate again. A healthy lifestyle may involve exercising regularly, and eating a healthy diet.

Schedule A Consultation

Dr. Fichadia is a foremost plastic and reconstructive surgeon who is double certified, experienced, and comprehensively trained. Dr Fichadia offers all 3 options for correcting a double chin, including Kybella, in-office chin liposuction and surgical necklift. At your consultation, she will consider your anatomy, goals and recovery timeline to suggest the best option for you. If you are in the Portland, Oregon area and are interested in your double chin treatment options, schedule a consultation with Dr. Hetal Fichadia, MD, FACS. Give us a call or fill out our contact form.

What Happens To Nipples After Top Surgery?

In most cases, you can expect good results from your top surgery, without requiring much change to the shape or position of the nipples. However, depending on the anatomy, nipple grafts may be discussed and planned for ahead of the surgery; more on this below.

Most people report a significant improvement in their appearance after surgery. This blog post will discuss what to expect regarding nipple recovery following top surgery.

What to Expect for Your Nipples After Surgery

After surgery, you can expect your nipples to be sensitive to touch and temperature. You may also experience some numbness or tingling. These sensations will usually go away within a few weeks to months. As for appearance, your nipples will be more proportional and may be slightly asymmetrical at first. The areola, the dark area around the nipple, will also be smaller.

You may have some scars around the nipple area that fade well with time. If you are unhappy with the appearance of your nipples after surgery, you can talk to your surgeon about revision surgery.

After nipple surgery, you should almost certainly expect your nipples to be sensitive to touch and temperature. You may also experience some numbness or tingling. These sensations will usually go away within a few months.

For FTM  (Female-To-Male) or MTF (Male-To-Female) patients, one or both nipple-areola complexes may be surgically removed and reattached in order to move its location to a more aesthetically pleasing location without sacrificing the health of the nipple. This is called a nipple graft. This is a surgical approach that may need to be implemented depending on 1) how far the nipple needs to be relocated to be centered on the breast or chest, 2) if the blood supply to the nipple(s) is not adequate.

What to Do to Have a Successful Recovery

Preparation on both the surgeon’s part and yours is key to a successful surgery and comfortable recovery process. Follow these tips and your doctor’s instructions carefully to ensure the best results.

  • It is essential to follow your surgeon’s instructions for wound care and activity restrictions. These include taking all your medications as prescribed and attending follow-up appointments with your surgeon.
  • Avoid activities that may put too much pressure or strain on your chest muscles, such as heavy lifting or contact sports. Contact your surgeon if you have any concerns or questions about your recovery.
  • Take care of your mental health. The surgery and recovery process can be emotionally taxing. If you feel overwhelmed, reach out to your support system or mental health professional.
  • Last and not least, expect to need patience during recovery. It can take several months for your nipples to heal and settle into their final look and sensation. Try to avoid comparing your results to others, as everyone heals at their own pace.

Top Surgery and Revision in Portland, OR

Every person and surgical plan is different, but we hope this helped inform you of what to expect after nipple top surgery. For more information, schedule a consultation with Dr. Fichadia to learn more about nipple surgery and other services like top surgery, and facelifts. You can fill out this form to get the help you need.

What to Expect for Mommy Makeover Recovery

Most women who undergo a mommy makeover report excellent results and are delighted with their decision to have the procedure. However, as with any surgery, a period of recovery is required to ensure optimal results. Here is what you can expect during your mommy makeover recovery.

Immediately After Surgery

After your surgery, you will be moved to a recovery area where you will be closely monitored for up to an hour or so. You will be given a compression garment or surgical bra to help minimize swelling and support your breasts as they heal, assuming your mommy makeover included breast enhancement. It is normal to feel some discomfort after surgery, but you will be given pain medication to help keep you comfortable. You may also have drainage tubes in place to help prevent fluid build-up.

During this period, it can be beneficial to have someone else stay with you to help with any tasks or chores you may need to complete. Also, get plenty of rest and avoid any strenuous activity or heavy lifting for at least the first week if not longer.

The First Few Days

Most women feel well enough to go home within a day or two of their surgery. It is essential to have someone there to help you with moving around for the first few days. You should avoid any strenuous activity, lifting anything heavy or bending over for at least two weeks. Walking is encouraged as it helps increase circulation and prevents blood clots from forming.

Also, keep your incisions clean and dry to prevent infection. Your doctor will give you specific instructions on caring for your incisions.

The First Two Weeks

During this time, you will likely still feel some pain and discomfort. You will also have swelling and bruising, which should improve after the first week. It is important to continue following your doctor’s instructions and avoid any strenuous activity.

You may also have drains in place to help prevent fluid build-up. Your doctor will give you specific instructions on caring for your drains.

The First Month

Bruising has resolved and swelling continues to dissipate. You may still have some pain and discomfort, but it should now be manageable with over-the-counter medication. You can also expect to see a significant improvement in your results.

It is important to continue following your doctor’s instructions and avoid any strenuous activity or lifting anything heavy if so instructed.

After the First Month

After the first month, you should start enjoying the best of your new figure. You will likely have some residual swelling, but it should not be significant. You will also continue to see improvements in your results as any remaining swelling dissipates.

At this point, you can usually return to all normal activities. However, be sure to listen to your body and take things slowly.

Mommy Makeovers in Portland, OR

It is important to remember that every person is different and will heal at their own pace. Dr. Fichadia is a board-certified plastic surgeon who specializes in mommy makeovers and will work with you to ensure a smooth and successful recovery for whatever rejuvenation and body contour enhancement you may want. The procedure she uses is designed to help you feel confident and comfortable in your own skin again, and Dr. Fichadia will do everything he can to help you achieve your goals. If you are considering a mommy makeover, contact Dr. Fichadia’s office today to schedule a consultation.

Excellence in Plastic Surgery in Portland, OR

We could go on and on about Dr. Fichadia’s impressive resume, double-board-certified accolades, or years of research at St. Elizabeth’s Medical Center in Boston, but let’s cut to the chase: Dr. Fichadia changes lives. Her fine-tuned expertise in plastic surgery allows her to offer safe procedures with the results that her patients dream of.

More importantly, Dr. Fichadia’s exhaustive understanding of human anatomy gives her a unique advantage in changing the natural shape of her patients’ bodies. From tummy tucks to reconstructive surgery, Dr. Fichadia offers a range of quality plastic surgery procedures. Continue reading to learn more about why you should choose Dr. Fichadia for plastic surgery in Portland, Oregon.

Awards and Honors

Dr. Fichadia is a double board-certified plastic and reconstructive surgeon (the American Board of Surgery and the American Board of Plastic Surgery), a step ahead of many other board-certified plastic surgeons. She is highly involved in presenting research to national and international surgical groups like the Clinical Congress of the American College of Surgeons and the annual meeting of the American Society of Plastic Surgery. She is also an active member of the American College of Surgeons, the Northwest Society of Plastic Surgeons, and the Association of Woman Surgeons. Finally, she has been named a “Top Doctor” on Real Self, an honor bestowed on only 10% of Real Self doctors.

Elite-Level Cosmetic Surgery Results

When patients consider plastic surgery, their minds often flood with images of lackluster results, botched procedures, and extensive recovery times. Although each surgeon’s level of expertise varies from clinic to clinic, impressive results come from medical professionals with decades of experience such as Dr. Fichadia, one of the best breast surgeons in the country. Choosing an experienced plastic surgeon and following their advice allows you to avoid these unnecessary complications and achieve the results you want.

Dr. Fichadia specializes in breast lifts, which allow women to reclaim their confidence and restore their youthful appearance. Moreover, her technical abilities allow her to create an incision line around the edge of the patient’s areola, leaving a barely-noticeable mark once healed. For women who want to avoid scars, surgical marks, or complications, this technique is the perfect solution for their needs.

Dr. Fichadia also consults with multiple male patients every year to remove breast tissue and restore confidence. She is a leading gynecomastia surgeon in the Portland area and one of the best consultants available for men uncomfortable with the look of their chest. Dr. Fichada can offer a wide variety of surgical approaches for truly customized treatment.

Dr. Fichadia’s Approach

Dr. Fichadia’s approach to cosmetic surgery is a personalized one. She believes in taking the time to actively listen and truly understand her patients’ goals so she can offer the best, most appropriate options for achieving stunning results. During a consultation, she helps patients make an informed decision about their surgery by discussing the pros and cons, as well as offering the most up-to-date information, fully answering questions, and giving a thorough explanation of what patients can expect during their procedure. In short, Dr. Fichadia is the best partner available for patients looking for a talented surgeon with an unbeatable bedside manner.

Live Your Best Life Starting Today

Rather than putting your personal goals off and telling yourself “I’ll do it tomorrow,” start now. Dr. Fichadia’s skill in working with patients to achieve their body-image goals is world-class, and her attention to detail is second to none. Her extensive knowledge of general surgery, combined with her global reach, allows Dr. Fichadia to accommodate patients from various backgrounds and geographical locations.

Whether you want to look and feel your best by getting a breast augmentation or you want to return to your pre-mommy shape, Dr. Fichadia, located in Portland, OR, is ready and willing to address your needs. Don’t hesitate — call today or contact us online and start the process of making your dreams become a reality.

Can You Gain Weight After a Tummy Tuck?

If you want a slimmer, more toned midsection, a tummy tuck might be the right option for you. This is a plastic surgery procedure that doesn’t help you lose weight, but rather addresses excess skin and muscles to give you a toned, sleeker figure. Most people who have tummy tucks are those who lost a lot of weight or had a baby and want to correct stubborn concern areas afterward.

It’s normal to wonder if it’s possible to still gain weight after having a tummy tuck. There are a few facts to know so you can continue to maintain your results for the long term.

Maintain a Stable Weight Before Your Tummy Tuck

Before you decide to have a tummy tuck, it’s essential that you maintain a healthy weight. You should be as close to your goal weight as possible to prevent potential complications during surgery. Tummy tucks are meant to help patients shed excess skin around their abdomens. Although liposuction can be be performed to eliminate stubborn fat, you shouldn’t rely on it as a weight loss method.

What Causes Weight Gain After a Tummy Tuck?

Minimal fluctuations in weight are normal for everyone. If you decide to have a tummy tuck, a weight change ranging from five to 10 pounds shouldn’t negatively affect your results. At the same time, it’s still important to understand why weight gain might occur. Being aware of this can help prevent possible complications from the surgery and can also help avoid serious medical conditions that arise or worsen with weight gain. The following are the most common reasons for weight gain after a tummy tuck:

  • Lifestyle choices: Many people gain weight because of poor lifestyle choices such as not eating healthy foods or exercising. After you’ve had tummy tuck surgery, make sure to eat a healthy diet and get plenty of regular physical activity daily.
  • Hormones: Hormone changes can impact your weight as well. If your hormones are imbalanced, it can cause you to gain weight. Consult your doctor about treatment options to properly balance your hormone levels.
  • Stress: Stress in everyday life can lead to overeating and weight gain. You should find the right ways to manage your stress so you can maintain a healthy weight.

What Happens if You Gain Weight After a Tummy Tuck?

If you gain weight after having had a tummy tuck, your abdominal skin will stretch. Depending on how much you gain, the skin of your stomach can hang when you eventually lose the weight. You may also have new stretch marks. If you become pregnant after your surgery, it can lead to the separation of the abdominal muscles. Many patients who seek tummy tuck procedures express concern about gaining a significant amount of weight after their surgery. As a result, it’s absolutely essential that only people who are good candidates for the procedure have the surgery.

One of the biggest factors in losing weight or maintaining your desired weight is exercise. Of course, for the first few weeks following your tummy tuck, you should avoid strenuous exercise, but you should be able to resume your regular daily routine and activities after your plastic surgeon tells you it’s safe. If you practice a healthy lifestyle and consume healthy foods after your surgery, you can avoid gaining weight after a tummy tuck.

Schedule a Consultation

The tummy tuck can help transform your body after weight loss or pregnancy. Dr. Fichadia is a double-board certified plastic surgeon located in Portland, OR. To meet with Dr. Fichadia and learn more about your options, contact our office by calling or filling out our online form.

Will My Breast Implants Feel Real or Fake?

There are many reasons that women seek breast implants, including to build self-esteem, enhance body image and boost sexual confidence. However, if you’re considering breast augmentation for any reason, it’s normal to be concerned about your results. Despite our best efforts, breast implants will always feel different than natural breast tissue. There are some things to keep in mind, though, when wondering about your new breasts. Here’s what to know about how breast implants feel and which type is best for you.

Factors That Determine If Breast Implants Feel Real or Fake

Nowadays, plastic surgeons use the most advanced breast implants available on the market. Even so, the “realness” of your implants can actually depend on a variety of factors outside of the implant itself. These factors include:


Implants can be placed over or under the chest muscles. Under-the-muscle implantation tends to feel more natural because there’s more natural tissue between the implant and the breast.

Implant Size

Larger implants can skew the implant/tissue ratio and increase the likelihood of an unnatural feel. This can be especially noticeable in petite women who have less natural breast tissue.

Initial Breast Tissue

Natural breast tissue covers the implants better and improves the feel of the implants through padding. Having less natural breast tissue can make the implant more noticeable.

Implant Texture

Textured implants have more grip on the interior breast pocket, but this means they don’t move freely and can noticeably stay in place. Smooth implants move freely like natural flesh. Dr. Fichadia only works with smooth implants.

Your board-certified plastic surgeon, Dr. Hetal Fichadia, can help you determine which factors are most important to you and ensure you make an informed decision about your results.

Which Type of Breast Implant Feels More Real?

There is no “best” type of implant, since each one comes with benefits that can match with each patient’s goals. However, there can be a noticeable difference between the two types of implants. For this reason, your plastic surgeon can guide you through the selection process based on your intended results.

Saline Breast Implants

Saline implants can feel more firm, an aspect that can make them feel less real. The reason is that saline implants are “balloons” plastic surgeons feel with sterile saline. Water is more difficult to compress and is less squishy, especially when the implant shell is stiff. Plastic surgeons usually fill saline implants more to make them firm. The way to make them feel less firm is by under-filling the saline implant shell. The shell allows easier water displacement, and it will feel squishier when compressed. However, an underfilled saline implant can look and feel “fake” because it has many folds and ripples.

Silicone Breast Implants

Silicone gel has varying levels of viscosity that in turn contributes to its firmness. Silicone contains molecule chains and cross-linking, and their length determines the firmness of the material. “Gummy bear” implants are more cohesive, firmer, and better at maintaining shape though, these are textured silicone implants, which Dr. Fichadia does not use due to their association with BIA-ALCL. Softer gels (as in traditional silicone implants) are best when you want to achieve a softer, more compressible feel. The softer gel fill prevents a “too firm” feel that makes many women worry about breast augmentation.

Schedule a Consultation

There are many options for achieving your ideal feel with breast augmentation. Take a look at Dr. Fichadia’s before and after gallery to see real results.  Dr. Fichadia is a double-board certified plastic surgeon located in Portland, OR. To create a customized surgical plan and explore your implant options, we invite you to contact our office by calling or filling out our online form.